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"ABSTRAKPenelitian ini bertujuan untuk mengetahui implementasi clinical pathway pada kasus diare akut dengan proses audit. Jenis penelitian ini adalah kuantitatif dan kualitatif dengan menggunaan konsep operational research dengan metode telaah dokumen, telaah data dan wawancara mendalam. Hasil penelitian didapatkan topik audit adalah implementasi clinical pathway diare akut dengan tujuan menilai kelengkapan pengisian clinical pathway, kepatuhan DPJP, PPJP, Gizi dan Farmasi serta menilai kesesuaian lama hari rawat dengan clinical pathway. Standar penilaian yang digunakan adalah standar nasional yaitu KARS. Hasil pengukuran menunjukkan bahwa kelengkapan pengisian clinical pathway 25 , tidak ditemukan variasi pada pemeriksaan laboratorium, asuhan nutrisi dan asuhan keperawatan, namun pada tata lakasana diare akut masih ditemukan variasi pada obat tambahan sebesar 41 , dan lama hari rawat sudah sesuai yaitu 3,3 hari. Beberapa hal yang perlu rumah sakit lakukan adalah mengembangkan kebijakan terkait clinical pathway, memperbaiki formulir clinical pathway dan sistem sosialisasi, membuat petunjuk teknis clinical pathway, sistem monitoring dan evaluasi, serta menurukan standar lama hari rawat dan diskusi terkait variasi terapi.

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ABSTRACTThis study aims to determine the implementation of clinical pathway of acute diarrhea with the audit process. This type of research is quantitative and qualitative by using operational research concept with document review method, data analysis and in depth interview. The result of the research shows that the audit topic is the implementation of clinical pathway of acute diarrhea with the aim to assessing completeness of clinical pathway, compliance of primary responsible physician, primary responsible nurse, nutrition and pharmacy and assessing the length of stay with clinical pathway. Assessment standard used is the national standard that is KARS. The result of measurement showed that completeness of filling clinical pathway 25 , no variation on laboratory examination, nutrition and nursing care, but still found variation on additional drug 41 , and length of stay was 3.3 day. Some things that hospital need to do is developed policies related to clinical pathway, improve clinical pathway forms and socialization systems, make clinical pathway technical guidance, monitoring and evaluation systems, and reduce standards length of stay and discussion of variations in therapy."

"ABSTRAKRuam popok merupakan reaksi inflamasi akut pada daerah kulit perianal yangumum terjadi pada anak-anak. Tujuan dari studi kasus ini adalah melakukanpemenuhan kebutuhan kenyamanan pada anak yang mengalami gangguanintegritas dengan menggunakan virgin coconut oil dengan pendekatan TeoriComfort Kolcaba. Hasil implementasi pada lima kasus terpilih menunjukkanbahwa terjadi perbaikan pada masalah keperawatan kerusakan integritas kulit dannyeri akut yang dialami anak dengan ruam popok. Implementasi virgin coconutoil dapat memperbaiki kerusakan jaringan yang terjadi. implementasi virgincoconut oil melalui pendekatan Teori Comfort Kolkaba dapat diterapkan padaanak dengan gangguan kenyamanan.

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ABSTRACTDiaper rash is an acute inflammatory reaction in the perianal skin areas thatcommonly occur among children. The purpose of this case study is to meet theneeds of comfort among children experience impared skin with application ofvirgin coconut oil with Comfort Kolcaba Theory approach. The result of theapplication of the five selected cases demonstrate that improvements in skinintegrity and redved acute pain experienced by children with diaper rash.Implementation of virgin coconut oil can repair the tissue damage . Application ofvirgin coconut oil through Comfort Kolkaba Theory approach can be applied tochildren with disorders of comfort."

"ABSTRAK Penyakit infeksi erat kaitannya dengan masalah cairan dan elekrolit. Anak dengan masalah cairan dan elektrolit mayoritas akan diberikan terapi cairan dan elektrolit melalui terapi intravena. Pemberian cairan dan terapi melalui jalur intravena memiliki risiko komplikasi, salah satu komplikasi yang paling sering terjadi adalah flebitis. Model asuhan keperawatan konservasi Levine menawarkan konsep yang holistik yang mampu mengatasi masalah tersebut. Asuhan keperawatan model konservasi Levine bertujuan untuk mempertahankan keutuhan individu dengan cara beradaptasi melalui aspek konservasi energi, konservasi integritas struktur, integritas personal dan sosial. Pada masalah flebitis, residen menerapkan penyelesaian masalah dengan pendekatan PICO, menggunakan intervensi kompres air hangat pada anak yang mengalami flebitis. Hasil penerapan EBNP didapatkan bahwa kompres hangat mampu menurunkan derajat flebitis dengan efektif. Model asuhan keperawatan konservasi Levine mampu mengeksplorasi data yang diperlukan untuk masalah cairan dan elektrolit dan dapat diterapkan pada pasien anak di ruang infeksi.

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ABSTRACTInfectious diseases are closely related to fluid and electrolyte problems. Children with fluid and electrolyte problems will be given fluid and electrolyte therapy through intravenous therapy. Giving fluids and intravenous therapy have a risk of complications, one of the most common complications is phlebitis. Levine 39 s conservation nursing care model offers a holistic concept that addresses the problem. This model aimed to maintain the integrity of the individual by adaptation through the conservation of energy, structure, and personal and social integrity. In phlebitis problem, the resident used PICO method approach, using warm water compress in children with phlebitis. The results of EBNP implementation found warm compress can reduce the degree of phlebitis effectively. This model was able to explore the data needed for fluid and electrolyte problems and can be applied to pediatric patients in the infection ward."

"Diaper dermatitis sering terjadi pada anak anak yang berisiko menimbulkan rasa gatal, nyeri, dan ketidaknyamanan. Pendekatan keperawatan untuk memberikan kenyamanan pada pasien didasarkan pada teori Comfort Kolcaba. Teori ini membahas tentang kenyamanan dalam empat konteks kenyamanan yaitu: fisik, psikospiritual, sosial budaya, dan lingkungan, Perianal care dengan menggunakan air merupakan salah satu Evidence Based Nursing Practice yang dapat diterapkan untuk mencegah dan mengatasi diaper dermatitis sehingga kenyamanan pasien dapat teratasi. Hasil dari penerapan teori ini dilakukan pada anak dengan kerusakan integritas kulit. Teori Kenyamanan Kolcaba dapat meningkatkan kesehatan pasien, kepuasan pasien dan keluarga terhadap pelayanan keperawatan bertambah.

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Diaper dermatitis is common in children who are at risk of itching, pain. This leads to discomfort in children. The nursing approach to comforting patients is based on Comfort Kolcaba's 2003 theory. This theory discusses comfort in four comfort contexts physical, psychospiritual, socio cultural, and environmental. Perianal care is one of the Evidence Based Nursing Practice that can be applied to prevent and treat diaper dermatitis so that patient comfort can be overcome. The result of the application of this Theory can be applied to children with impaired skin integrity. The implementation of Kolcaba Comfort Theory can improve patient health, patient and family satisfaction on nursing services will increase."

"Globalization has influenced widely to social order in postmodern era. Members of society have freedom individually to articulate their set of values and cultural symbols in everyday life. In the postmodern society, there are many varieties of consumer's taste to the cultural products, including housing products, as a part of efforts of the people to reach a social position in their society.

This study is a qualitative research with case study Lippo Karawaci, the property company member of Lippo Group, one of main business group in Indonesia. Problem statement is function of corporate culture as an adaptive strategy, or in other word, how employees of Lippo Karawaci operate their corporate culture as an adaptive strategy face globalization. Aims of this research want to understand why corporate culture becomes a significant factor of successfulness of the company, and how corporate culture should be operated face globalization. This study uses cultural theory approach as an adaptive strategy.

As a qualitative research, this research combines some research approaches, i.e. naturalistic, phenomenology, and ethno-methodology approaches. This research also uses polyphony and multi-textual approaches, which are suitable for assessing postmodern society. Methods of data collecting are participant observation and in-depth interviews.

Field research found some facts. Varieties of needs and consumer's taste to the housing products and its facilities stimulate employees of Lippo Karawaci to give response by operating generative principles of their corporate culture dynamically, and doing innovations continuously, both in housing design and service management. Housing products of Lippo Karawaci are received by consumers, and have become a trend in the property market. They are also selling the power of cultural capital of Lippo Group chairman.

Conclusion of this research are: first, globalization influenced property market strongly, and has been understood superficially, both by consumer and producer; second, employees of Lippo Karawaci face globalization successfully, by selling innovation, creativity, and cultural capital; third, development of exclusively settlement, like Lippo Karawaci, must be planned carefully, because it can leads to social gap and chaos."